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Arkansas rates for HCPCS V2109

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.14 / $49.04 / $56.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $179,999.82 / $539,999.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.90 / $70.01 / $77.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.05 / $46.05 / $46.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.51 / $28.56 / $29.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $28.49 / $39.58